St. John’s Episcopal Hospital OB-GYN chief tackles maternal health disparities

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For Dr. Jacqueline Marecheau, chief of obstetrics and gynecology at St. John’s Episcopal Hospital, Women’s History Month is more than a celebration: It is a call to confront one of the nation’s most urgent and persistent health crises.

Marecheau has spent her career delivering babies and caring for mothers, working on the front lines of maternal health in underserved communities. She has been at Episcopal Health Services for six years, and her work is rooted in community health, equity and supporting the teams who care for women and families every day.

Marecheau earned an undergraduate degree in biomedical education from the Sophie Davis School of Biomedical Education (now the CUNY Medical School) and a medical degree from the SUNY Health Science Center at Brooklyn.

“I went through my third year of medical school rotations and I fell in love with OB/GYN,” she said. “I realized that I was drawn to women’s health because it interested me in medicine and advocacy. OB/GYN is a field where you can see direct results of action and education, and that’s always been meaningful to me.”

Marecheau’s experience underscores a troubling reality: Maternal health risks in the United States remain alarmingly high. About 22 women per 100,000 die from childbirth-related causes each year, and roughly 50,000 experience severe complications. The U.S. continues to have the highest maternal mortality rate among high-income nations, with Black women facing the greatest risks.

Between 2018 and 2021, Black women were three to four times more likely to die from pregnancy-related causes than white women, according to federal health data. Marecheau emphasized that these disparities are rooted not in biology, but in systemic inequities including gaps in care, delayed diagnoses, implicit bias and lack of access to resources.

At EHS, which serves the diverse and historically underserved Rockaway peninsula, Marecheau sees these challenges play out daily. The community has long faced barriers to high-quality care, but, she said, the hospital is working to change that narrative.

“I love improving access to pre-natal care, helping women navigate complex health decisions,” she said, “and knowing I can create a safer and healthier outcome for women who haven’t always historically been prioritized brings me immense joy.”

In August 2025, St. John’s opened a new state-of-the-art labor and delivery suite, restoring comprehensive maternity services to the area. The facility features private suites and emphasizes patient-centered care.

Marecheau has championed programs including doula support services, postpartum care initiatives and the Centering Pregnancy model, which combines prenatal visits with group education to improve outcomes for mothers and babies.

“My focus these days is making sure services are equitable and culturally responsive,” she said.

Hospital staff have received additional training to better recognize early signs of complications, and systems have been implemented to ensure that patients receive follow-up care after they’re discharged, a critical period when many maternal deaths occur.

“No woman should feel that her pain is ignored or her concerns are dismissed,” Marecheau said.